About the Role
You own our Medicaid product line a distinct domain inclusive of federal reporting, data and analytics, AI agentic workflows, and Medicaid-specific platform capabilities. This role will set Medicaid product direction and drive the development roadmap with engineering.
A Day in the Life
- Own the Medicaid product across federal reporting (T-MSIS, CMS reporting, and MES interfaces), analytics (claims, quality, redetermination, and eligibility, including program oversight dashboards), agentic workflows, and Medicaid-specific platform capabilities.
- Run discovery and requirements directly with state Medicaid agencies.
- Stay current on Medicaid policy shifts, including eligibility redetermination cycles and recent federal legislation, and translate their impact into the product.
- Define agentic workflows and predictive analytics for Medicaid operations and oversight, with a person accountable for anything touching a federal submission.
- Serve as product subject matter expert for Medicaid pursuits and RFP responses.
What You Need
- 5+ years in product management with deep Medicaid experience, in state Medicaid agency operations, Medicaid managed care, or both.
- Command of federal reporting frameworks and Medicaid analytics across quality, cost, claims, MCO performance, and eligibility.
- Familiarity with the MMIS / MES landscape and Medicaid data.
- Experience with AI or agentic capabilities in a regulated setting, and judgment about where automation belongs and where a human stays in the loop.
- US-based, with the ability to work across state Medicaid agency relationships.
Preferred
- Prior product work with state Medicaid agencies or Medicaid technology vendors.
- Exposure to CMS certification contexts (for example, streamlined modular certification).
- Current working knowledge of redetermination and recent Medicaid policy change.
We offer competitive benefits to set you up for success in and outside of work.
Here’s What We Offer
- Generous PTO Benefits: Enjoy PTO benefit accrual of 20 days per year.
- Parental Leave: Experience one of the industry's best parental leave policies to spend time with your new addition.
- Rewards & Recognition: Unlock your potential and be rewarded generously with both monetary incentives and widespread recognition for your dedication and outstanding performance. Unlock your potential and be rewarded generously with both monetary incentives and widespread recognition for your dedication and outstanding performance.
- Insurance Benefits: We offer medical, dental, and vision benefits along with 100% company-sponsored short and long-term disability and basic life insurance. Legal aid and pet insurance options are available at a discounted rate.
Innovaccer is an equal opportunity employer. We celebrate diversity, and we are committed to fostering an inclusive and diverse workplace where all employees, regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, marital status, or veteran status, feel valued and empowered.
Disclaimer: Innovaccer does not charge fees or require payment from individuals or agencies for securing employment with us. We do not guarantee job spots or engage in any financial transactions related to employment. If you encounter any posts or requests asking for payment or personal information, we strongly advise you to report them immediately to our HR department at px@innovaccer.com. Additionally, please exercise caution and verify the authenticity of any requests before disclosing personal and confidential information, including bank account details.
About Innovaccer
Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure— extending the human touch in healthcare. For more information, visit www.innovaccer.com.
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